Middletown Oral Surgery Associates, P.C.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

22D102185305 Issued in NJ

Legal business name

MIDDLETOWN ORAL SURGERY ASSOCIATES, P.C.

Practice address

21 New Monmouth Road
Middletown, NJ 07748

Phone

(732) 671-5822

Fax

(732) 671-8415

NPI assigned

Jan 20, 2016

Last updated

Apr 8, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward Kozlovsky, DMDNPI 1326119736

Title

Owner

Phone

(732) 671-5822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Kozlovsky, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Marlboro, NJ
  • NPI 1326119736
  Medicare reassignment NPD Authorized official
• Joseph F Miele, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Middletown, NJ
  • NPI 1386827681
  Medicare reassignment NPD
• Marisa Dailey, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Marlboro, NJ
  • NPI 1932585486

  Single Specialty

  NPD
• George William Sandau, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Marlboro, NJ
  • NPI 1346430840

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1245697432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NEW MONMOUTH ROAD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "07748",
            "telephone_number": "732-671-5822",
            "fax_number": "732-671-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NEW MONMOUTH ROAD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "07748",
            "telephone_number": "732-671-5822",
            "fax_number": "732-671-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN ORAL SURGERY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "KOZLOVSKY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-671-5822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "22D102185305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middletown Dental Care PA (Robert C DiBona DDS)
• Middletown Emergency Medical Services Inc
• Middletown Family Dental LLC
• Middletown Foot & Ankle LLC
• Middletown Oral and Maxillofacial Surgery Associates LLC
• Middletown Radiology LLC
• Middletown Sleep Disorders Center, LLC
• Middletown Surgical Supply, Inc.
• Middletown TWP. Board of Education
• Middletown Ventures Associates LLC (ImageCare at Middletown)

• Oral & Maxillofacial Surgery (D.M.D.) in Middletown, NJ
• Providers in Middletown, NJ by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.